| NPI | 1992077242 |
|---|---|
| Former Name | BRANDI LEE TWEETER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 125K00000X Advanced Practice Dental Therapist (Licence: MN ADT10) |
| Additional Taxonomies | 126800000X Dental Assistant (Licence: MN A8742) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2025-08-15 |